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Medicine prescription practices of homeopathic undergraduate students in West Bengal,India

Journal of Integrative Medicine 2014年第1期12卷 7-12页

作者： Subhranil Saha Munmun Koley jogendra singh arya Gurudev Choubey Shubhamoy Ghosh Subhasish Ganguly Aloke Ghosh Sangita Saha Malay Mundle Clinical Research Unit(Homeopathy) Siliguri 734006DarjeelingWest BengalIndia under Central Council for Research in Homeopathy Government of India Department of Pathology and Microbiology Mahesh Bhattacharyya Homeopathic Medical College and Hospital Department of Organon of Medicine and Homeopathic Philosophy D N De Homeopathic Medical College and Hospital Department of Organon of Medicine and Homeopathic Philosophy Midnapore Homeopathic Medical College and Hospital Department of Organon of Medicine and Homeopathic Philosophy Calcutta Homeopathic Medical College and Hospital Department of Community Medicine Medical College of Kolkata

OBJECTIVE： To our knowledge, prescription of homeopathic medicines by homeopathic undergraduate students has not been studied before though it may possess serious implications. We aimed to determine the practice and attitudes of prescription by homeopathic undergraduate students. METHODS： A cross-sectional study was carried out involving all the students from four government homeopathic schools of West Bengal, India. Ethical requirements were ensured and data were collected using self-administered questionnaires. Chi-square tests and logistic univariate regression analyses were performed to identify associations and differences. RESULTS： A total of 328 forms were completed. Of these, 264 （80.5%） homeopathic undergraduate students admitted of prescribing medicines independently and most （40.5%） said that they did this 2-3 times a year. The most common reasons for this were ＇urgency of the problem＇（35.2%）, ＇previous experience with same kind of illness＇（31.8%）, and ＇the problem too trivial to go to a doctor＇（25.8%）. About 63.4% of the students thought that it was alright to independently diagnose an illness while 51.2% thought that it was alright for them to prescribe medicines to others. Common conditions encountered were fever, indigestion, and injury. Students who prescribed medicines were more likely to belong to Calcutta Homeopathic Medical College and Hospital （odds ratio = 5.8; 95% confidence interval 2.247-14.972）. Prescription by students gradually increased with academic years of homeopathic schools. Many students thought it was alright for students to diagnose and treat illnesses. CONCLUSION： Prescription of medicines by homeopathic undergraduate students is quite rampant and corrective measures are warranted.

关键词： homeopathy education, medical, undergraduate India prescriptions, drug practice, institutional drug use, irrational

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A study on drug utilization and prescription habits of physicians in a government homeopathic hospital in West Bengal, India

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Journal of Integrative Medicine 2013年第5期11卷 305-313页

作者： Munmun Koley Subhranil Saha jogendra singh arya Gurudev Choubey Shubhamoy Ghosh Rajib Purkait Ramkumar Mondal Bapi Kundu Rajarshi Mukherjee Clinical Research Unit (Homeopathy) Central Council for Research in Homeopathy Mahesh Bhattacharyya Homeopathic Medical College and Hospital Government of West Bengal West Bengal University of Health Sciences

Improper prescribing habits and inappropriate drug use lead to serious health and economic consequences. This study was undertaken to evaluate drug utilization services and prescription patterns of homeopathic doctors in a government homeopathic teaching hospital in India. METHODS： No standardized homeopathic drug use indicators are available. The researchers used indicators for health care setting （drug availability）-modified prescribing indicators and patient care indicators, based on World Health Organization＇s core drug use indicators. A cross- sectional, prospective, institutional, observational study of 2-month duration with record analysis was conducted on 600 patients visiting seven different outpatient departments （OPDs） for the first time at Mahesh Bhattacharyya Homeopathic Medical College ＆ Hospital, Howrah, West Bengal, India, using the developed indicators. RESULTS： Overall availability of prescribed drugs was quite satisfactory （92.28%）. Centesimal potencies accounted for the majority of prescriptions （74.76%）. There was a poor record of diagnosis （39.17%） except in the OPDs of Gynecology and Obstetrics （68.48%, P 〈 0.01） and Dermatology （64.58%, P 〈 0.01）. Records of investigational findings and ongoing therapies, if any, were also poor except OPDs of Gynecology and Obstetrics, and Pediatrics. Structure of prescriptions was maintained satisfactorily in all the OPDs. Though tendency of using ＇individualized homeopathy＇ predominated, there also existed the use of ＇polypharmacy＇. Mean consultation time was 5.9 min. Labeling was extremely poor and is an area needing improvement. The prescriptions were highly legible. CONCLUSION： This was a preliminary study, conducted for the first time in homeopathy using newly developed indicators that yield meaningful results. Further studies are necessary in order to evaluate the different factors involved and to plan future interventions to improve the quality of care in healthcare settings.

关键词： homeopathy prescriptions, drug durg utilization hospital

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Device closure of fistula from left lower pulmonary artery to left atrium using a vascular plug:A case report

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World Journal of Cardiology 2021年第4期13卷 111-116页

作者： Rudrapratap Mahapatra Dibyasundar Mahanta jogendra singh Debasis Acharya Ramachandra Barik Department of Cardiothoracic Surgery All India Institute of Medical SciencesBhubaneswar Pin-751019OdishaIndia Department of Cardiology All India Institute of Medical SciencesBhubaneswar Pin-751019OdishaIndia

BACKGROUND Pulmonary artery-to-left atrial fistula is a variant of pulmonary arteriovenous fistula and is a developmental *** presentation,cyanosis and effort intolerance are some of the important *** diagnosis is confirmed by computed tomography or pulmonary artery ***-based closure is preferred to *** SUMMARY Left pulmonary artery-to-left atrial fistula is rare.A 40-year-old male presented with effort intolerance,central cyanosis,and recurrent *** had a large and highly tortuous left pulmonary artery-to-left atrial fistula associated with a large aneurysmal sac in the ***-based closure was performed using a vascular *** Left pulmonary artery-to-left atrial fistula is relatively uncommon compared to right pulmonary artery-to-left atrial *** closure by either a transeptal technique or guide wire insertion into the pulmonary vein through the pulmonary artery is *** need for an arteriovenous loop depends on the tortuosity of the course of the fistula and the size of the device to be implanted because a larger device needs a larger sheath,necessitating firm guide wire support to facilitate negotiation of the stiff combination of the delivery sheath and dilator.

关键词： Pulmonary artery Left atrium Fistula Hemangioma Catheter-based Vascular plug Case report

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